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1306498134
ETHAN G PRESTON
IRONTON, OH
NPI
1306498134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.175127)
Enumeration Date
2019-07-11
Last Update Date
2023-06-19
Business Address
ETHAN G PRESTON CDCA, QMHS
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
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Mailing Address
ETHAN G PRESTON CDCA, QMHS
PO BOX 108
IRONTON, OH 45638-0108
Phone number:
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